Coram Cvs/Specialty Infusion Services
LBN: Coram Alternate Site Services Inc
Coram Cvs/Specialty Infusion Services is an health care organization with primary practice located at 12310 World Trade Dr Suite 100, San Diego CA 92128-3793. The organization recently has 11 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty.
Coram Alternate Site Services Inc can be contacted via phone (858) 576-6969, or through Lacavich, Tricia via phone (314) 306-3255.
Contact Information
Primary practice address
12310 World Trade Dr Suite 100
San Diego CA 92128-3793
Phone: (858) 576-6969
Fax: (858) 974-6606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 0800429 | California |
| Agencies / Home Infusion | 251F00000X | 0800429 | California |
| Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X | California | |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PHY50273 | California |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | PHY50273 | California |
| Suppliers / Pharmacy | 333600000X | PHY50273 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY50273 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X | PHY50273 | California |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | PHY50273 | California |
| Suppliers / Mail Order Pharmacy | 3336M0002X | PHY50273 | California |
| Suppliers / Specialty Pharmacy | 3336S0011X | PHY50273 | California |
Profile Details
| NPI number | 1790734036 |
|---|---|
| LBN Legal business name | Coram Alternate Site Services Inc |
| DBA Doing business as | Coram Cvs/Specialty Infusion Services |
| Authorized official | Lacavich, Tricia |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790734036 | NPPES |
| Other | 0522311 | NCPDP | |
| MEDICAID | PHA409320 | NCPDP | |
| Other | 101225 | NCPDP | |
| Other | 0800429 | NCPDP | |
| Other | PHY50273 | NCPDP |
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